Individual
JAMIE NICOLE CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW, CADC 1
Contact information
Practice address
619 NW 6TH AVE FL 3, PORTLAND, OR 97209-3964
(503) 988-5020
Mailing address
619 NW 6TH AVE FL 3, PORTLAND, OR 97209-3964
(503) 988-5020
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000000254
OR
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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